Roger Ewald, M.D.

NPI #1598908733 in Champaign, Illinois

Provider Information

NPI Number: 1598908733
Entity Type: Individual
Name: Roger Ewald, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Apr 17, 2009
Last Updated: Apr 17, 2009

Practice Location

Address: 819 BLOOMINGTON RD
City: Champaign
State: Illinois
ZIP Code: 61820-2101
Phone: (217) 403-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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